Agency Information Collection Review

DEPARTMENT OF LABOR

Agency Information Collection Review

AGENCY: Employment Standards Administration, DOL.

ACTION: Expedited review of the following information collection

request under the Paperwork Reduction Act.

-----------------------------------------------------------------------

SUMMARY: The Office of Workers' Compensation (OWCP), Employment

Standards Administration (ESA), Department of Labor (DOL), invites

comments on the following proposed expedited review information

collection request, in carrying out its responsibilities under the

Paperwork Reduction Act (44 U.S.C. Chapter 35, 5 CFR 1320 (53 FR 16618,

May 10, 1988).

DATES: This expedited review is being requested in accordance with the

Act, since allowing for the normal review period would adversely affect

the public interest. Approval by the Office of Management and Budget

(OMB) has been requested by September 29, 1995.

ADDRESSES: Written comments should be addressed to the Office of

Management and Budget, Office of Information and Regulatory Affairs,

Attention: Debra Bond, Desk Officer, 725 17th Street, N.W., Room 10235,

New Executive Office Building, Wash., D.C. 20503. Request for copies of

the proposed information collection request should be addressed to

Theresa M. O'Malley, Department of Labor, 200 Constitution Ave., N.W.

Room N-1301, Wash., DC 20210.

FOR FURTHER INFORMATION CONTACT:

Theresa M. O'Malley (202) 219-5095. Individuals who use a

telecommunications device for the deaf (TTY/TDY) may call (202) 219-

4720 between 1:00 p.m. and 4:00 p.m. Eastern time, Monday through

Friday.

SUPPLEMENTARY INFORMATION: Section 3517) of the Paperwork Reduction Act

of 1980 (44 U.S.C. Chapter 3517) requires that the Director of OMB

provide interested persons an early opportunity to comment on

information requests. OMB may amend or waive the requirement for public

consultation to the extent that public participation in the approval

process would defeat the purpose of the information collection, violate

State or Federal law, or substantially interfere with the agency's

ability to perform its statutory obligations.

The Director, Office of Information Resources Management Policy,

publishes this notice simultaneous with the submission of this request

to OMB. This notice contains the following information:

Type of Review: Expedited

Title: Claim for Compensation on Account of Traumatic Injury or

Occupational Disease, Form CA-7; and, Claim for Continuing Compensation

on Account of Disability, Form CA-8

Frequency of Response: Form CA-7 is used as an initial claim for

compensation and the CA-8 is filed for continuing compensation

Affected Public: The forms are required of a member of the public on

rare occasions, such as when compensation is claimed after the

claimant's Federal employment has terminated

------------------------------------------------------------------------

Total

Form Respondents Per response hours

------------------------------------------------------------------------

CA-7.......................... Est. 200..... 30 minutes...... 100

CA-8.......................... Est. 200..... 30 minutes...... 100

------------------------------------------------------------------------

Total Annual Burden Hours: 200

Respondents Obligation to Reply: Mandatory for determining claimants

continuing eligibility for and computation of benefits

Description: The ESA, Office of Workers' Compensation Programs

administers the Federal Employees' Compensation Act that provides for

payment of benefits for wage-loss and/or for permanent impairment to a

scheduled member arising out of a work related injury or disease. The

Act outlines eligibility requirements, as well as amount of benefits.

Information from these forms allow OWCP to fulfill its statutory

requirement.

Signed at Washington, D.C. this 18 day of September 1995.

Theresa M. O'Malley,

Acting Departmental Clearance Officer.

[FR Doc. 95-23536 Filed 9-21-95; 8:45 am]

BILLING CODE 4510-27-M